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News

CMS aims to stop provider identity theft

With a careful eye on fraud and abuse, the Centers for Medicare & Medicaid Services (CMS) has created the provider victim validation/remediation initiative to help prevent medical fraud. The Read more...

Dartmouth-Hitchcock settles false claims charges

Dartmouth-Hitchcock Medical Center of Lebanon, N.H., has agreed to pay more than $2.2 million to settle charges it improperly billed several federal healthcare programs, the U.S. Attorney for the Read more...

HHS too reliant on IT in fight against Medicare fraud

HHS program integrity director Peter Budetti is a man excited about the possibilities of anti-fraud software, data mining/screening and analytics, according to a lengthy feature on healthcare fraud Read more...

Former hospital CFO faces 90-year jail sentence for diverting grant money

Former hospital CFO Natalie Ann Krasnow of Huntley, Ill., was arrested for racketeering and fraud, according to an announcement made last Thursday by Florida Attorney General Bill McCollum and the Read more...

SPOTLIGHT: Hospital fires CFO

Danbury (Conn.) Hospital fired its senior vice president and CFO William Roe, after he was charged with wire fraud, interstate transport of stolen funds, witness tampering and obstruction of justice, Read more...

Fake health plans increasing

Fraud bureaus are reporting an increase in fake health plans, according to the Coalition Against Insurance Fraud, an anti-fraud watchdog nonprofit. The plans may sound legitimate, but pay little to Read more...

Fraud scheme involving homeless brings $10M false claims settlement

The two former owners of City of Angels Medical Center in Los Angeles have agreed to pay $10 million to settle False Claims allegations that they provided unnecessary medical services to homeless Read more...

New York Medicaid fraud bust reveals unusual cast of characters

In another sign that Medicaid fraud is in vogue as, uh, a business opportunity, authorities have busted a New York-based fraud ring which includes some very well-heeled characters, including Read more...

Organized crime getting deeper into medical identity theft

Medicare and Medicaid fraud is nothing new--but the extent to which these programs are being bilked by hard-core criminal organizations is. As we've reported here previously, evidence continues to Read more...

FL bank teller gets three years for Medicare scam

Another day, another Medicare fraud case in Florida. This week, a former Bank of America teller received three-plus years in prison for "falsifying reporting documents" for the owners of Miami-based Read more...

Press Releases

Former New York City Hospital Purchasing Official Pleads Guilty to Bid Rigging and Fraud Conspiracies

For Immediate Release December 2, 2010 U.S. Department of JusticeOffice of Public Affairs(202) 514-2007/TDD (202) 514-1888 WASHINGTON—A former purchasing official at Mount Sinai Medical Read more >>

LOS ANGELES CITY ATTORNEY'S OFFICE FILES LEGAL ACTION AGAINST HEALTH INSURERS FOR DEFRAUDING CONSUMERS

Suite 800, City Hall EastLos Angeles, CA 90012Phone: 213-978-8340 Fax: 213-978-2093http://www.atty.lacity.org**PRESS RELEASE** WEDNESDAY, OCTOBER 20, 2010 LOS ANGELES – The Los Angeles City Read more >>

Five defendants indicted in fraudulent credit card scheme using information stolen from Johns Hopkins Hospital patient records

FOR FURTHER INFORMATION CONTACT AUSA VICKIE E. LEDUC or MARCIA MURPHY at 410-209-4885 September 30, 2010 FOR IMMEDIATE RELEASE http://www.usdoj.gov/usao/md Read more >>